Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.
Describes how health care providers and their correctional agency partners can design medications for addiction treatment programs for people with opioid use disorder in jails and prisons.
Explored innovative integrated health plan approaches to improve care transitions. Health plans featured in the webinar participate in Promoting Integrated Care for Dual Eligibles (PRIDE), a project to advance health plan strategies for providing high-quality care for dually eligible beneficiaries.
Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.
Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.
A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.
Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.
Christine Schaeffer, MD, medical director of Northwestern Medicine Transitional Care Clinic, describes the core components of its transitional care program. She also shares important considerations for health systems interested in implementing person-centered transitional care.
A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.